Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.08 / $739.26 / $969.22	Facility		$141.08	$739.26	$969.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.08 / $141.08 / $141.08	Professional		$141.08	$141.08	$141.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.99 / $137.80 / $431.91	Facility		$133.99	$137.80	$431.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $188.10 / $188.10	Professional		$188.10	$188.10	$188.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $180.26 / $188.10	Facility		$156.75	$180.26	$188.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.75 / $180.39 / $234.32	Professional		$156.75	$180.39	$234.32
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $65.84 / $94.05	Professional		$65.84	$65.84	$94.05